Other Demographics Tab

Data items contained in the Other Demographics Data Folder Tab follow:

Level of Education Attained at Application

Record the level of education the individual had attained at the time of application. Note: Coding options have been updated and/or added to this data element. For cases open at the time of form implementation, update data element coding options if applicable. Use the following codes:

 0 - No formal schooling
 1 - Elementary education (grades 1-8)
 2 - Secondary education, no high school diploma (grades 9-12)
 3 - Special education certificate of completion/diploma or in attendance
 4 - High school graduate or equivalency certificate (GED)
 5 - Post-secondary education, no degree or certificate
 6 - Post-secondary academic degree, Associate degree
 7 - Bachelor's degree
 8 - Master’s degree
 9 - Any degree above a Master's - e.g. Ph.D., Ed.D., J.D.
10 - Vocational/Technical Certificate or License
11 - Occupational credential beyond undergraduate degree work
12 - Occupational credential beyond graduate degree work

Note:  Code 3 is intended to capture individuals whose highest level of education is special education.  This includes various situations.  Use code 3 “Special education certificate of completion/diploma or in attendance”: 1) if the individual is currently a special education student, 2) if the individual received special education and earned a certificate of completion or high school diploma, or 3) if the individual received special education but did not receive a certificate/diploma.

Medical Insurance Coverage at Application

Record whether an individual had medical insurance coverage at the time of application. Enter a “1” in each of the following data elements if the individual had this type of medical insurance coverage at application, otherwise leave blank.

Note: A new data element has been added to Medical Insurance Coverage at Application.

Medicaid

Medicare

Public Insurance from Other Sources (Workers' Compensation, Children's Health Insurance Program, etc)

Private Insurance Through Own Employer

Not Yet Eligible for Private Insurance through Current Employer, But Will Be Eligible for Private Insurance after a Certain Period of Employment

Private Insurance through Other Means refers to individuals receiving benefits through their parent/family members’ insurance plan.

Default on Student Loan

Optional. Via Radio button, indicate Yes or No, if appropriate.

Defaulting on a student loan affects Comparable Benefits and the IPE. See Comparable Benefit Policy 208.00 and Comparable Benefit Procedure 208.00P.

Felony Convictions

Optional. Via Radio button, click Yes or No, if appropriate.

It may be useful to know about felony conviction during goal development; certain licenses may not be available if there has been a conviction.

Student with Disability in Secondary Education at Application

This element captures the status of an individual with a disability in secondary education at the time of application.

Note: This data element replaces Individualized Education Program (IEP) in the previous version of the RSA-911 instructions. If the individual was coded as having an IEP at the time of application in the previous version of the RSA-911 instructions, update the record.

  1. This individual is not a student with a disability in secondary education at the time of application.
  2. This individual is a student with a 504 accommodation plan.
  3. This individual is a student and is receiving services under an IEP at the time of application.
  4. This individual is a student with a disability who is not covered by Section 504 of the Rehabilitation Act and is not receiving services under an IEP at the time of application.

Net Encumbrance

Displays net encumbrance associated with the case, when available.

User Defined Field

Optional. Available to enter a short note (16 characters).

Special Considerations

Optional. Special considerations regarding the individual may be documented for future reference.

To select the appropriate Special Considerations for the individual:

Click to highlight one or more of the Available Special Considerations. Note the horizontal and vertical scroll bars to see more items.

Click: Add button. The identified considerations will be moved to Selected Special Considerations specific to the individual.

To remove a Selected Special Consideration and return it to the Available Special Considerations:

Click to highlight one or more of Selected Special Considerations that need to be removed. Note the horizontal and vertical scroll bars to see more items.

Click: Remove button. The identified considerations will be removed to the Available Special Considerations.

Other Special Considerations

Optional. Special considerations regarding the individual may be documented for future reference. If the appropriate consideration is not available in the list of Special Considerations, this field provides space for free text.

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